| NPI | 1144786237 |
|---|---|
| Former Name | MARISSA WEICHING-GOOLSBY ACUFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 11151) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2024-09-11 |